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Organization

O2 DME DURABLE EQUIPMENT & SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIVEL PEREZ (OFFICE MANAGER)
(956) 263-1630
Entity
Organization

Contact information

Practice address
103 KAIN ST UNIT 1, RIO GRANDE CITY, TX 78582-6667
(956) 263-1630
(956) 263-1602
Mailing address
103 S KAIN ST UNIT 1, RIO GRANDE CITY, TX 78582-4221
(956) 263-1630
(956) 263-1602

Taxonomy

Speciality
Code
Description
License number
State
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
TX
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
214149101
TX
05
214149102
TX
Enumeration date
02/19/2010
Last updated
01/12/2012
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